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Friday, November 28, 2008

DME MAC A News for November 28, 2008 - Weekly Updates

 
NHIC, Corp.DME MAC A ListServeFor Immediate Release
 
November 28, 2008

Weekly What's New

The following publications have been posted to the DME MAC A What's New page:Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update (MM6229)

The article Update to Medicare Deductible, Coinsurance and Premium Rates for 2009 (MM6258) has been revised

Important Information on Medicare Payment and Supplier Requirements for Oxygen and Oxygen Equipment (CMS Message 2008-11-28)

The Advance Beneficiary Notice of Noncoverage (ABN) and Correct Use of Modifiers GA and GY

DME MAC A Supplier Manual - Multiple Chapters have been revised
For more information visit:

http://www.medicarenhic.com/dme/dme_whats_new.shtml
 
  
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DME MAC A News for November 28, 2008 - A CMS Quick Reference Information Resource for Flu Season

 
NHIC, Corp.DME MAC A ListServeFor Immediate Release
 
November 28, 2008
A CMS Quick Reference Information Resource for Flu Season
(CMS Message 2008-11-28)Flu Season Is Here! Medicare provides coverage of the flu vaccine without any out-of-pocket costs to Medicare patients. No deductible or copayment/coinsurance applies. For quick information to assist with filing claims for the influenza vaccine and it's administration, the Centers for Medicare & Medicaid Services (CMS) has prepared The Quick Reference Information: Medicare Part B Immunization Billing Chart (Feb. 2008) - This two-sided laminated reference chart gives Medicare fee-for-service physicians, providers, suppliers, and other health care professionals a quick reference to coding and billing information. To view, download, and print the quick reference chart, go to http://www.cms.hhs.gov/MLNProducts/downloads/qr_immun_bill.pdf on the CMS website. To order a copy, free of charge, go to the MLN Products Ordering web page at http://cms.meridianksi.com/kc/pfs/pfs_lnkfrm_fl.asp?lgnfrm=reqprod&function=pfs. Get Your Flu Shot - Not the Flu.
 
  
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DME MAC A News for November 28, 2008 - DME MAC Jurisdiction A Launches Test Your Knowledge Quiz

 
NHIC, Corp.DME MAC A ListServeFor Immediate Release
 
November 28, 2008
DME MAC Jurisdiction A Launches Test Your Knowledge QuizIn an effort to further enhance our educational efforts, DME MAC Jurisdiction A is pleased to announce the addition of the Test Your Knowledge section to our Web site. The new Test Your Knowledge section contains online quizzes that suppliers can take to gauge how well they answer some common Medicare questions. The results will also be used to detect educational needs among the supplier community and on an individual basis. Our initial quiz, Medicare Basics, poses questions on fundamental Medicare topics pertaining to claim submission, accreditation, appeals, and more. After completing the quiz, users will be directed to the correct answers along with a short description of where they can find more information on each particular topic.If you have been billing Medicare for years or are just starting out, stop by the DME MAC A Web site today and Test Your Knowledge! You may qualify for individual, one-on-one education by one of our Outreach Specialists.
The Test Your Knowledge quiz can be found on the DME MAC A Web site at: http://www.medicarenhic.com/dme/dme_quiz_form.shtml
 
  
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NAS DME Update



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Oxygen

Changes in Medicare Payment for Oxygen and Oxygen Equipment SE0840

This article alerts suppliers and providers that CMS is implementing new oxygen payment rules and supplier responsibilities as a result of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) in the Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2009 as displayed in the Federal Register on Octover 30, 2008. These changes are effective for services provided on or after January 1, 2009. Be sure billing staff are aware of these changes.
General Announcements
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Remittance Advice Remark Code and Claim Adjustment Reason Code Update MLN Matters 6229

This article is based on Change Request (CR) 6229 which updates Remittance Advice Remark Codes (RARCs) and Claim Adjustment Reason Codes (CARCs). If you use the Medicare Remit Easy Print software, note that Medicare will update that software as a result of implementing CR6229. Be sure billing staff are aware of these updates.
Update to Medicare Deductible, Coinsurance and Premium Rates for 2009 - Revised MLN Matters 6258

This article is based on Change Request (CR) 6258, which provides the Medicare rates for deductible, coinsurance and premium payment amounts for calendar year (CY) 2009.
2009 MCPSS Survey

Information is given on the Medicare Contractor Provider Satisfaction Survey.
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Suppliers - Your Web Feedback is Needed
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Please take two-three minutes to complete the Web site satisfaction survey that randomly displays on our https://www.noridianmedicare.com Web site. Completing this survey during the months of November and December is very important to NAS and CMS as it provides valuable information about your needs, likes, dislikes, and recommendations.

What's New
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View a complete listing of the most recent web site updates: https://www.noridianmedicare.com/dme/news/updates.html

Supplier Contact Center Closures
--------------------------------
   November 27 and 28 in observance of the Thanksgiving holiday
   December 24 beginning at 12 pm CT
   December 25 in observance of the Christmas holiday
   December 26 for CMS approved training (Telephone Reopenings only)

Electronic Billing Questions?
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Wednesday, November 26, 2008

A CMS Quick Reference Information Resource for Flu Season

Flu Season Is Here! Medicare provides coverage of the flu vaccine without any out-of-pocket costs to Medicare patients. No deductible or copayment/coinsurance applies. For quick information to assist with filing claims for the influenza vaccine and it's administration, the Centers for Medicare & Medicaid Services (CMS) has prepared The Quick Reference Information: Medicare Part B Immunization Billing Chart (Feb. 2008) - This two-sided laminated reference chart gives Medicare fee-for-service physicians, providers, suppliers, and other health care professionals a quick reference to coding and billing information. To view, download, and print the quick reference chart, go to http://www.cms.hhs.gov/MLNProducts/downloads/qr_immun_bill.pdfon the CMS website. To order a copy, free of charge, go to the MLN Products Ordering web page at http://cms.meridianksi.com/kc/pfs/pfs_lnkfrm_fl.asp?lgnfrm=reqprod&function=pfs . Get Your Flu Shot - Not the Flu.
 
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If you received this message as part of the All_FFS_Providers@list.nih.gov listserv, you are currently subscribed to one of eighteen Medicare Fee-For-Service provider listservs.  If you would like to be removed from all NIH listservs, please go to (https://list.nih.gov/LISTSERV_WEB/signoff.htm) to unsubscribe.  If you would like to unsubscribe from a specific provider listserv, please go to (https://list.nih.gov/cgi-bin/show_list_archives) to unsubscribe or to leave the appropriate listserv. Please DO NOT respond to this email. This email is a service of CMS and routed through an electronic mail server to communicate Medicare policy and operational changes and/or updates. Responses to this email are not routed to CMS personnel. Inquiries may be sent by going to (http://www.cms.hhs.gov/ContactCMS). Thank you.
 
 
 
 
 
 
 
 

Tuesday, November 25, 2008

National Government Services EDI Help Desk will be Closed for the Thanksgiving Day Holiday

In observance of the Thanksgiving Day Holiday, the National Government Services office will be closed on Thursday, November 27 and Friday, November 28, 2008.

The Part A, Part B, Jurisdiction 13 Part A and B, and Jurisdiction B DME MAC EDI Help Desks will reopen on Monday, December 1, 2008 at 8:00 a.m. (ET) for normal business hours.

 The CEDI Help Desk will reopen on Monday, December 1, 2008 at 9:00 a.m. (ET) for normal business hours.
Thank you,
National Government Services, Inc.
Corporate Communications


CEDI Report Changes Teleconference

National Government Services, Common Electronic Data Interchange (CEDI) will hold a Teleconference on Thursday, December 4, 2008. This teleconference will cover the CEDI Electronic Report Changes taking place in January 2009. Details on the upcoming teleconference are included below: 

CEDI Report Changes Teleconference
Date: December 4, 2008
Time: 1:00 – 2:30 p.m. (Eastern Time)
Teleconference Dial-in Number: 1-866-497-2655
Conference ID: 75394208

Attend the CEDI Teleconference to hear about the CEDI electronic report changes that will occur in January 2009. A brief presentation will be given and the call will be opened for a Question and Answer session. The Question and Answer session will be limited to the topic discussed.

 For more information on CEDI visit the CEDI Web site at www.ngscedi.com. As a reminder, CEDI has a News section on the Web site, containing the most recent information released by CEDI.

Thank you,
National Government Services, Inc.
Corporate Communications

National Government Services' Listserv is for outgoing messages only. Please do not respond back to messages as your response will not be answered, this is not an authorized mode of communication at this time. Thank you!

To update your CEDI Listserv profile select Login from the Listserv Registration section of the CEDI Web site.

 To unsubscribe from the CEDI Listserv click the following link, http://66.193.191.61/list/unsubscribeList.html?lui=ffblhtkk&mContainer=8&mOwner=G2r372s&mListId=HL%23135
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DME MAC A News for November 25, 2008 - The Advance Beneficiary Notice of Noncoverage (ABN) and Correct Use of Modifiers GA and GY

 
NHIC, Corp.DME MAC A ListServeFor Immediate Release
 
November 25, 2008
The Advance Beneficiary Notice of Noncoverage (ABN)
and Correct Use of Modifiers GA and GY
Both Medicare beneficiaries and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers have certain rights and protections related to financial liability under the Fee-for-Service (FFS) Medicare program. These financial liability and appeal rights and protections are communicated to beneficiaries through Advance Beneficiary Notices of Noncoverage (ABN) given by suppliers.An ABN is a written notice the supplier gives to a Medicare beneficiary before providing items and or services that are expected to be denied by Medicare based on one of the following statutory exclusions:The item or service may be denied as "not reasonable and necessary" pursuant to Section 1862(a)(1) of the Social Security ActThe item or service may be denied due to an unsolicited telephone contact pursuant to Section 1834(a)(17)(B)The supplier number requirements not being met pursuant to Section 1834(j)(1)Denial of a request for Advance Determination of Medicare Coverage (ADMC) pursuant to Section 1834(a)(15)When an item or service is provided to a Medicare beneficiary and is expected to be denied based on one of the four exclusions listed above, it is the responsibility of the supplier to notify the beneficiary in writing through the use of the ABN before the item or service is delivered or purchased. If the supplier issues a properly executed ABN and obtains the beneficiary's consent the DMEPOS supplier must submit the claim to Medicare using the GA modifier on each Healthcare Common Procedural Coding System (HCPCS) code that is expected to be denied. The GA modifier indicates that the supplier has a waiver of liability statement on file.
Statutorily Excluded Items
The GY modifier indicates that an item or service is statutorily excluded or does not meet the definition of any Medicare benefit. Some local coverage determinations (LCDs) require the use of the GY modifier when the item or service may be excluded from coverage. In this situation, suppliers are instructed to code the claim with the appropriate HCPCS code indicated in the LCD and append the GY modifier. Some examples of statutory exclusions where the GY modifier is required per policy would include:An infusion drug not administered using a durable infusion pumpA wheelchair that is for use for mobility outside the homeTo determine if an exclusion of Medicare benefits exist, suppliers must review the applicable LCD and policy article for the item or service being provided.It is important to distinguish situations in which an item is denied because it is statutorily excluded or does not meet the definition of any Medicare benefit from those situations in which at item is denied because it is not reasonable and necessary. Some examples of statutorily excluded items or situations include, but are not limited to:Eyeglasses or contact lenses - except those provided following cataract removal or other cause of aphakia;Durable Medical Equipment and related accessories and supplies provided to patients in nursing facilities;Personal comfort items; andOrthopedic shoes or shoe inserts - other than those covered under the therapeutic shoes for diabetics benefit or those that are attached to a covered leg braceSome examples of items or situations which do not meet the definition of a Medicare benefit include, but are not limited to:Parenteral or enteral nutrients that are used to treat a temporary (rather than permanent) condition;Enteral nutrients that are administered orally;Infusion drugs that are not administered through a durable infusion pump;Surgical dressings that are used to cleanse a wound, clean intact skin, or provide protection to intact skin;Irrigation supplies that are used to irrigate the skin or wounds;Immunosuppressive drugs when they are used for conditions other than following organ transplants;Most oral drugs;Oral anticancer drugs when there is no injectable or infusion form of the drug;Nondurable items (that are not covered under any other benefit category);Durable items that are not primarily designed to serve a medical purpose;e.g., exercise equipmentTo access the LCDs and policy articles, please visit the NHIC Web site at http://www.medicarenhic.com/dme click on the LCD link in the left hand navigation under Medical Review.
Voluntary Notification
Under the new instruction for the revised ABN, the Centers for Medicare & Medicaid Services (CMS) advise that this form may be used to voluntarily notify Medicare beneficiaries of an expected noncovered denial of Medicare payment due to the statutory exclusion of an item or service, or the item or service not meeting the definition of any Medicare benefit.Section 1848(g)(4) of the Social Security Act states that items that are categorically excluded from Medicare benefits (i.e. hearing aids, personal comfort items, etc.) are not required to be submitted to the Medicare program by the supplier. However, if the beneficiary requests the supplier to submit the claim to Medicare, the claim should be coded with the designated HCPCS; however, neither modifiers GA nor GY are required. The supplier and the Medicare beneficiary will receive a patient responsibility denial for the noncovered services.For additional instruction regarding the proper execution of an ABN, suppliers are encouraged to review the CMS Internet-Only Manual Medicare Claims Processing Manual, Chapter 30, "Financial Liability Protections," Sections 50 and 60 at http://www.cms.hhs.gov/manuals
 
  
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DME MAC Jurisdiction C News

 DME MAC Jurisdiction C News
External Breast Prostheses Webinar: Do you provide External Breast Prostheses for Medicare beneficiaries? Do you want to make sure you know the coverage and billing guidelines for these items? If so, Please register for any of the upcoming External Breast Prosthesis Webinars/Teleconferences.. Read more..
Enteral Nutrition Webinar: Do you provide Enteral Nutrition to Medicare beneficiaries? Do you want to make sure you know the coverage and billing guidelines for these items? If so, Please register for any of the upcoming Enteral Nutrition Webinar/Teleconferences. Read more..
DME MAC Jurisdiction C Supplier Manual Update: On December 1, 2008, the quarterly revision of the DME MAC Jurisdiction C Supplier Manual will be released on the CIGNA Government Services Web site. This quarter s update is larger in scope than most quarterly updates and includes many improvements. All of the chapters of the manual have been affected by this update. Read more..
CMS Issues Improper Payment Rates for Medicare, Medicaid, and SCHIP: CMS today reported it protected roughly $400 million of taxpayer dollars as improper payments for Medicare fee-for-service (FFS) decreased from 3.9 percent in Fiscal Year (FY) 2007 to 3.6 percent, or $10.4 billion, in FY 2008. The Medicare, Medicaid and SCHIP improper payment rates are issued annually as part of the HHS Agency Financial Report. Read more..
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EDI News: Upcoming "CEDI Report Changes" Teleconference

 
National Government Services, Common Electronic Data Interchange (CEDI) will hold a Teleconference on Thursday, December 4, 2008.  This teleconference will cover the CEDI Electronic Report Changes taking place in January 2009.  Details on the upcoming teleconference are included below:

Teleconference title, "CEDI Report Changes"
Date: December 4, 2008
Time: 1:00 - 2:30 p.m. (Eastern Time)
Teleconference Dial-in Number: 1-866-497-2655
Conference ID: 75394208

Attend the CEDI Teleconference to hear about the CEDI electronic report changes that will occur in January 2009. A brief presentation will be given and the call will be opened for a Question and Answer session. The Question and Answer session will be limited to the topic discussed. 

For more information on CEDI visit the CEDI Web site at www.ngscedi.com
. As a reminder, CEDI has a "News" section on the Web site, containing the most recent information released by CEDI. 
  messages only. Please do not respond back to messages as your response will not
 

DME MAC A News for November 25, 2008 - Important Information on Medicare Payment and Supplier Requirements for Oxygen and Oxygen Equipment

 
NHIC, Corp.DME MAC A ListServeFor Immediate Release
 
November 25, 2008
Important Information on Medicare Payment and Supplier Requirements for Oxygen and Oxygen Equipment
(CMS Message 2008-11-25)The Centers for Medicare & Medicaid Services (CMS) has released an MLN Matters article that emphasizes important information on Medicare payment and supplier requirements for oxygen and oxygen equipment. To assure proper implementation of these policies, the MLN Matters article focuses on significant supplier requirements for furnishing oxygen and oxygen equipment to our beneficiaries. The article (# SE0840 entitled, Changes in Medicare Payment for Oxygen and Oxygen Equipment) is available on the CMS website at http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0840.pdfCMS has also released questions and answers to address beneficiary concerns regarding the changes in payment and supplier requirements for oxygen and oxygen equipment. To view these questions and answers visit questions.medicare.gov on the Internet.



November Flu Shot ReminderFlu season is here! Medicare patients give many reasons for not getting their annual flu shot, including - "It causes the flu"; "I don't need it"; "It has side effects"; "It's not effective"; "I didn't think about it"; "I don't like needles!" The fact is that every year in the United States, on average, about 36,000 people die from influenza. Greater than 90 percent of these deaths occur in individuals 65 years of age and older. You can help your Medicare patients overcome these odds and their personal barriers through patient education. Talk with your Medicare patients about the importance of getting an annual flu shot - and don't forget to immunize yourself and your staff. Protect yourself, your patients, and your family and friends. Get Your Flu Shot - Not the Flu. Remember - Influenza vaccine plus its administration are covered Part B benefits. Note that influenza vaccine is NOT a Part D covered drug.For information about Medicare's coverage of the influenza virus vaccine and its administration as well as related educational resources for health care professionals and their staff, please go to http://www.cms.hhs.gov/MLNProducts/Downloads/flu_products.pdf on the CMS website. To download the Medicare Part B Immunization Billing quick reference chart, go to http://www.cms.hhs.gov/MLNProducts/downloads/qr_immun_bill.pdf on the CMS website. A copy of this quick reference chart can be ordered, free of charge, by going to the MLN Products web page and clicking on "MLN Product Ordering Page" in the Related Links Inside CMS section of the web page.
 
   
 
  
 

EDI News: NGSMedicare.com Web site Webinar Registration Now Available

 
Registration Now Available for the Jurisdiction B Durable Medical Equipment Medicare Administrative Contractor (DMEMAC) Web site Webinar Training  National Government Services, the Jurisdiction B DMEMAC will host a Webinar that will provide an overview of the www.NGSMedicare.com Web site. This Webinar will be conducted on Tuesday, December 9, 2008 at 10:00 AM Eastern Time. During this free Webinar, a live demonstration of the www.NGSMedicare.com will outline key features, navigational tools, and highlight areas of the site that contain excellent educational resources that are available to the DME supplier community.    Once the presentation is concluded, ample time will be allowed for a question and answer session.  We encourage all Medicare fee-for-service DMEPOS suppliers to sign up for this free educational opportunity.   Registration is available online only!  To register, please click on the following link:http://www.ngsmedicare.com/NGSMedicare/DMEMAC/EducationandSupport/CalendarofEvents/RegistrationDMEMAC_Index.aspx Note:  Necessary dial-in instructions will be provided once registration is received.
 

EDI News: EDI Help Desk will be closed for the Thanksgiving Day Holiday

 
To: All Medicare Part A, Part B, Jurisdiction 13 Part A and B, Jurisdiction B DME MAC and CEDI DME MAC Electronic Submitters  Subject:  National Government Services EDI Help Desk will be closed for the Thanksgiving Day Holiday In observance of the Thanksgiving Day Holiday, the National Government Services office will be closed on Thursday, November 27 and Friday, November 28, 2008.The Part A, Part B, Jurisdiction 13 Part A and B, and Jurisdiction B DME MAC EDI Help Desks will reopen on Monday, December 1st at 8:00 a.m. (ET) for normal business hours. The CEDI Help Desk will reopen on Monday, December 1st at 9:00 a.m. (ET) for normal business hours.
 

Monday, November 24, 2008

Important Information on Medicare Payment and Supplier Requirements for Oxygen and Oxygen Equipment

The Centers for Medicare & Medicaid Services (CMS) has released an MLN Matters article that emphasizes important information on Medicare payment and supplier requirements for oxygen and oxygen equipment.  To assure proper implementation of these policies, the MLN Matters article focuses on significant supplier requirements for furnishing oxygen and oxygen equipment to our beneficiaries.  The article (# SE0840 entitled, Changes in Medicare Payment for Oxygen and Oxygen Equipment) is available on the CMS website at http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0840.pdf .
 
CMS has also released questions and answers to address beneficiary concerns regarding the changes in payment and supplier requirements for oxygen and oxygen equipment.  To view these questions and answers visit questions.medicare.gov on the Internet.
 
_____________________________________________________________________________________________
 
November Flu Shot Reminder
"Flu season is here! Medicare patients give many reasons for not getting their annual flu shot, including—"It causes the flu" "I don't need it" "It has side effects" "It's not effective" "I didn't think about it" "I don't like needles!"  The fact is that every year in the United States, on average, about 36,000 people die from influenza. Greater than 90 percent of these deaths occur in individuals 65 years of age and older. You can help your Medicare patients overcome these odds and their personal barriers through patient education. Talk with your Medicare patients about the importance of getting an annual flu shot--and don't forget to immunize yourself and your staff. Protect yourself, your patients, and your family and friends. Get Your Flu Shot - Not the Flu. Remember - Influenza vaccine plus its administration are covered Part B benefits.  Note that influenza vaccine is NOT a Part D covered drug.
 
For information about Medicare's coverage of the influenza virus vaccine and its administration as well as related educational resources for health care professionals and their staff, please go to http://www.cms.hhs.gov/MLNProducts/Downloads/flu_products.pdfon the CMS website. To download the Medicare Part B Immunization Billing quick reference chart, go to http://www.cms.hhs.gov/MLNProducts/downloads/qr_immun_bill.pdf on the CMS website. A copy of this quick reference chart can be ordered, free of charge, by going to the MLN Products web page and clicking on "MLN Product Ordering Page" in the Related Links Inside CMS section of the web page.
 
 

DME MAC Jurisdiction C News

 DME MAC Jurisdiction C News
Mark your calendars and attend the next CIGNA Government Services Jurisdiction C "Ask the Contractor Teleconference" (ACT). Our topic for this call is "Changes in Medicare Payment for Oxygen and Oxygen Equipment".
http://www.cignagovernmentservices.com/jc/pubs/news/2008/1108/cope8832.html
Please do not respond to this message. This is an unmonitored mailbox. Please use our Online Help Center to submit any comments and inquiries to CIGNA Government Services.

NAS DME Additional Update



NAS DME Jurisdiction D E-mail List
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General Updates
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Suppliers - Your Web Feedback is Needed
Please take two-three minutes to complete the Web site satisfaction survey that randomly displays on our https://www.noridianmedicare.com/ Web site. Completing this survey during the months of November and December is very important to NAS and CMS as it provides valuable information about your needs, likes, dislikes, and recommendations.

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Search Tip - Searching for an exact phrase?
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To refine a search, group a phrase together in parentheses.

A search for (Manual Wheelchair) will only return content that has the term Manual immediately followed by the term Wheelchair.

For more tips, see the DME Search Guide: https://www.noridianmedicare.com/dme/search/search_guide.html

What's New
----------
View a complete listing of the most recent web site updates: https://www.noridianmedicare.com/dme/news/updates.html

Supplier Contact Center Closures
--------------------------------
   November 27 and 28 in observance of the Thanksgiving holiday
   December 24 beginning at 12 pm CT
   December 25 in observance of the Christmas holiday

Electronic Billing Questions?
-----------------------------
See the CEDI, National Government Services, Web site at http://www.ngscedi.com/ for resources, FAQs, manuals, and more!

To edit your e-mail preferences or unsubscribe, go to
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Phone 1-866-243-7272
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EDI News: Interactive Voice Response (IVR) System Enhancement

 
Jurisdiction B DMEMAC Interactive Voice Response (IVR) System Enhancement National Government Services is pleased to announce the following enhancement has now been added to the Jurisdiction B DMEMAC IVR system. In order to better serve the supplier community, the Eligibility option of the DME application has been modified to allow the caller to request additional dates of service for a single Medicare number without having to return to the main menu. After reading back eligibility information, the IVR will now prompt the caller to provide another date of service without requiring the caller to re-enter the patient's Medicare information. Suppliers may utilize this new feature by dialing into the IVR system at 1-877-299-7900 and selecting Option 2 for eligibility information. 
 Remember! National Government Services' EDI List Serve is for out going messages only. Please do not respond back to messages as your response will not be answered, as this is not an authorized mode of communication at this time, Thank you! CONFIDENTIALITY NOTICE: This E-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply E-mail and destroy all copies of the original message.
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DME MAC A News for November 24, 2008 - December 2008 Ask-the-Contractor Teleconference (ACT) Reminder

 
NHIC, Corp.DME MAC A ListServeFor Immediate Release
 
November 24, 2008December 2008 Ask-the-Contractor Teleconference (ACT) ReminderThe NHIC, Corp. DME MAC A Outreach & Education Team will be holding our quarterly Ask-the-Contractor Teleconference (ACT) calls on Tuesday, December 16th, 2008. The December 2008 calls will focus on general updates / hot topics with ample time for questions. The calls will last for approximately one hour and will begin promptly at the scheduled time. No registration is needed; however the number of lines will be limited.ACT calls serve to identify issues in a timely way, provide methods of sharing information, and are an excellent tool to listen to our customers. This is your opportunity to interact directly with the NHIC DME MAC on the selected topic. We encourage all suppliers to participate!For further details regarding the December 2008 ACT calls, go to http://www.medicarenhic.com/dme/dme_act.shtml#upcoming. Be sure to read the participation instructions.
 

Friday, November 21, 2008

Now Available Online: "Medicare's Practical Guide to the E-Prescribing Incentive Program"

"Medicare's Practical Guide to the E-Prescribing Incentive Program" explains the e-prescribing incentive program, how eligible professionals can participate, and how to choose a qualified e-prescribing system. To read or print the guide, visit: http://www.cms.hhs.gov/partnerships/downloads/11399.pdf.
 
By adopting e-prescribing through Medicare's program, eligible professionals can save time, enhance office and pharmacy productivity, and improve patient safety and quality of care while earning incentives from Medicare.
 
For additional information about e-prescribing, you can also visit:
 
Continuing Education Credits Available
On October 6-7, 2008, CMS and 34 partner organizations hosted the National E-Prescribing Conference to promote and explain the potential of e-prescribing to improve health care in the United States. Sessions included the e-prescribing incentive payment program; strategies and tools for integrating e-prescribing with current health care delivery practices; and privacy, security, and risk management implications.
 
The Massachusetts Medical Society and the American Pharmacists Association will provide continuing education for selected presentations from the conference through an online education portal. Available credits are a maximum of 22.5 AMA PRA Category 1 Credits™, and Continuing Education for pharmacists (up to 13.25 hours of continuing education credit (1.325 CEUs)). To view or listen to the presentations, and complete an online test on each segment, go to www.massmed.org/cme/CMS_eprescribing.
 
Additional information is available on the National E-Prescribing Conference site at http://www.epsilonregistration.com/er/EventHomePage/CustomPage.jsp?ActivityID=378&ItemID=1117.
 
The Centers for Medicare & Medicaid Services looks forward to working with you on the adoption of e-prescribing and implementation of the incentive program.
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DME MAC Jurisdiction C Webinars

 DME MAC Jurisdiction C Webinars
The Jurisdiction C DME MAC Provider Outreach and Education team is pleased to offer three new Webinar series beginning December 4, 2008. Participation is limited, so register now!
Oxygen Webinar
Are you a supplier who supplies Oxygen and Oxygen Equipment to Medicare Beneficiaries? Would you like clarification of the coverage guidelines and an explanation of the recent payment changes for Oxygen and Oxygen Equipment? If you answered yes to these questions then we have a Webinar for you! Find additional details and registration links here.
http://www.cignagovernmentservices.com/jc/education/webinars.html
Reopenings and Appeals Webinar
Have you received claim denials? Do you want to make sure you are taking the appropriate steps to resolve them? Then plan to attend the Jurisdiction C DME MAC Reopenings and Appeals webinar/teleconference. We can assist with detailed information on both the Reopenings and Appeals process. Find additional details and registration links here.
http://www.cignagovernmentservices.com/jc/education/webinars.html
DME MAC Insider Webinar
Don't be left out! Find out what's "IN" the DME MAC Insider! This live, instructor-led education guides you through the Spring 2008 DME MAC Insider publication. This webinar will show you how to use the DME MAC Insider as a quick reference tool to find articles and changes applicable to the DME supplier community. Find additional details and registration links here.
http://www.cignagovernmentservices.com/jc/education/webinars.html
Wheelchair Accessories Webinar
Have you provided a Medicare Covered Manual or Power Wheelchair to a Medicare beneficiary? Does the beneficiary require accessories for that wheelchair? As a provider, do you want to make sure you bill properly for the accessories? If so, be sure to register for any of the upcoming Wheelchair Accessories Webinars. Find additional details and registration links here.
http://www.cignagovernmentservices.com/jc/education/webinars.html
 

DME MAC A News for November 21, 2008 - Weekly Updates

 
NHIC, Corp.DME MAC A ListServeFor Immediate Release
 
November 21, 2008

Weekly What's New

The following publications have been posted to the DME MAC A What's New page:Changes in Medicare Payment for Oxygen and Oxygen Equipment (SE0840 and JSM08447)

Fee Schedule Update for 2009 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) (MM6270)

Compendia as Authoritative Sources for Use in the Determination of a "Medically Accepted Indication" of Drugs and Biologicals Used Off-Label in an Anti-Cancer Chemotherapeutic Regimen (MM6191)

DME MAC A Winter Webinar Schedule - Coming Soon

October 2008 Update of the Adult Immunizations Brochure for Health Care Providers Now Available (CMS Message 2008-11-19)

CMS Issues Improper Payment Rates For Medicare, Medicaid And SCHIP (CMS Message 2008-11-17)

December ACT Call Information Now available


For more information visit:

http://www.medicarenhic.com/dme/dme_whats_new.shtml
 

DME MAC A News for November 21, 2008 - December 2008 Ask-the-Contractor Teleconference (ACT)

 
NHIC, Corp.DME MAC A ListServeFor Immediate Release
 
November 21, 2008December 2008 Ask-the-Contractor Teleconference (ACT)The NHIC, Corp. DME MAC A Outreach & Education Team will be holding our quarterly Ask-the-Contractor Teleconference (ACT) calls on Tuesday, December 16th, 2008. The December 2008 calls will focus on general updates / hot topics with ample time for questions. The calls will last for approximately one hour and will begin promptly at the scheduled time. No registration is needed; however the number of lines will be limited.ACT calls serve to identify issues in a timely way, provide methods of sharing information, and are an excellent tool to listen to our customers. This is your opportunity to interact directly with the NHIC DME MAC on the selected topic. We encourage all suppliers to participate!For further details regarding the December 2008 ACT calls, go to http://www.medicarenhic.com/dme/dme_act.shtml#upcoming. Be sure to read the participation instructions.
 
    
 
  
3

EDI News: October 16, 2008 Claim Status Inquiry Webinar Materials are Available

 
 
National Government Services, the Jurisdiction B DME MAC conducted a Claim Status Inquiry (CSI) Webinar on Thursday, October 16, 2008. The following materials are now available on the Web site: Power Point Presentation:  This is the presentation that was used during the Webinar.                           Presentation Overview:  This presentation overview includes all Web links mentioned during the Webinar. Q&A Document:  This Q& A document includes all the questions that were asked during the Webinar and online. To access these materials, click on or paste the following link into your Internet browser: http://www.ngsmedicare.com/NGSMedicare/DMEMAC/EducationandSupport/Webinars/IndexWebinarsDMEMAC.aspx 
 messages only. Please do not respond back to messages as your response will not
 

DME MAC A News for November 21, 2008 - DME MAC Jurisdiction A Launches Test Your Knowledge Quiz

 
NHIC, Corp.DME MAC A ListServeFor Immediate Release
 
November 21, 2008
DME MAC Jurisdiction A Launches Test Your Knowledge QuizIn an effort to further enhance our educational efforts, DME MAC Jurisdiction A is pleased to announce the addition of the Test Your Knowledge section to our Web site. The new Test Your Knowledge section contains online quizzes that suppliers can take to gauge how well they answer some common Medicare questions. The results will also be used to detect educational needs among the supplier community and on an individual basis. Our initial quiz, Medicare Basics, poses questions on fundamental Medicare topics pertaining to claim submission, accreditation, appeals, and more. After completing the quiz, users will be directed to the correct answers along with a short description of where they can find more information on each particular topic.If you have been billing Medicare for years or are just starting out, stop by the DME MAC A Web site today and Test Your Knowledge! You may qualify for individual, one-on-one education by one of our Outreach Specialists.
The Test Your Knowledge quiz can be found on the DME MAC A Web site at: http://www.medicarenhic.com/dme/dme_quiz_form.shtml
 
 

NAS DME Update



NAS DME Jurisdiction D E-mail List
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Subscribed Interests
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Oxygen

Oxygen Policy Reminders

The following article gives reminders when billing for oxygen and oxygen equipment to Jurisdiction D.
General Announcements
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Diagnosis Edits on LCDs

NAS has implemented diagnosis requirements from the LCDs and PAs and will continue to do so. This will ensure that DME items are edited for diagnosis as listed in the policy, paid only when appropriate based on the diagnosis and that diagnosis codes are edited to the highest level of specificity.
Fee Schedule Update for 2009 for DMEPOS MLN Matters 6270

This article is based on Change Request (CR) 6270 and alerts providers that the Centers for Medicare & Medicaid Services (CMS) has issued instructions for implementing and/or updating the DMEPOS fee schedule payment amounts on a semiannual basis (January and July), with quarterly updates as necessary (April and October). Be sure your billing staffs are aware of these changes.
Update to Medicare Deductible, Coinsurance and Premium Rates for 2009 MLN Matters 6258

This article is based on Change Request (CR) 6258, which provides the Medicare rate for deductible, coinsurance and premium payment amounts for calendar year (CY) 2009.
Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement MLN Matters 6262

The Centers for Medicare & Medicaid Services (CMS) periodically updates the lists of Healthcare Common Procedure Codes System (HCPCS) codes subject to the consolidated billing provision of the Home Health Prospective Payment System (HH PPS).
Compendia as Authoritative Sources for Use in the Determination of a "Medically Accepted Indication" of Drugs and Biologicals Used Off-Label in an Anti-Cancer Chemotherapeutic Regimen MLN Matters 6191

This article is based on Change Request (CR) 6191 which updates the list of compendia recognized as authoritative sources of information for the determination of drugs and biologicals used off-label in anti-cancer chemotherapeutic regimens.
Jurisdiction D Happenings, Issue 17, Now Available

Jurisdiction D Happenings, Issue 17, is now available on our DME Web site.
Other Topics
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Electronic Data Interchange

CEDI News: Electronic Front-End Reports and Top Rejections Document
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Search Tip - Searching for an exact phrase?
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To refine a search, group a phrase together in parentheses.

A search for (Manual Wheelchair) will only return content that has the term Manual immediately followed by the term Wheelchair.

For more tips, see the DME Search Guide: https://www.noridianmedicare.com/dme/search/search_guide.html

What's New
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View a complete listing of the most recent web site updates: https://www.noridianmedicare.com/dme/news/updates.html

Supplier Contact Center Closures
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   November 27 and 28 in observance of the Thanksgiving holiday
   December 24 beginning at 12 pm CT
   December 25 in observance of the Christmas holiday

Electronic Billing Questions?
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See the CEDI, National Government Services, Web site at http://www.ngscedi.com/ for resources, FAQs, manuals, and more!

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Thursday, November 20, 2008

DME MAC Jurisdiction C News

 DME MAC Jurisdiction C News
Re-Posting of 2009 HCPCS Annual Update: The Centers for Medicare and Medicaid Services has reposted the recent scheduled release of modifications to the Healthcare Common Procedure Coding System (HCPCS) code set to incorporate new changes. The revised update has been posted to the HCPCS website. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2008/1108/cope8817.html
Reminder – ICD-10-CM/PCS National Provider Conference Call for Physicians and Providers Who Missed Previous Conference Calls: Physicians and providers who were unable to attend the previous two ICD-10-CM/PCS conference calls may now register for the Centers for Medicare & Medicaid Services ICD-10-CM/PCS National Provider Conference Call that will be conducted on November 17, 2008 from 12:30 p.m. – 2:30 p.m. EST. Read more...
http://www.cignagovernmentservices.com/jc/pubs/news/2008/1108/cope8818.html
The DME MAC Provider Outreach & Education team is conducting a "Maximizing Your Reimbursement" Workshop in Houston and Dallas. Topics include:
  • Changes within the Medicare Program
  • Documentation and Proper Billing: Detailed Education on How to Correct Costly Errors
  • CERT Reduction Plans: What You Need to Know to Decrease Errors
  • Top Denials and Resolutions: What NOT to Do
  • Resources
What attendees have said about past "Maximizing Your Reimbursement" workshops.
  • "This is my first time to bill Medicare in 26+ years. Everything that was presented will be used!" Denver 10/15/08
  • "This is the best educational class I have taken." Baton Rouge 11/11/08
  • "Thanks for making it so entertaining." Baton Rouge 11/11/08
  • "Overall, very informative." Atlanta 08/19/08
 

About this Blog

This blog shows most if not all of the announcements sent via the various email Mailservers.